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目的 :评价输尿管阴道瘘的诊治效果 ,强调其预防的重要性和适宜的治疗方式。方法 :回顾性总结了我院诊治的 39例输尿管阴道瘘患者。其中 12例 (30 8% )实施早期或即时修复治疗 ,2 1例 (5 1 3% )采取延期输尿管膀胱再植术、输尿管对端吻合术 ,6例 (15 3% )肠代输尿管术。术后随访 4～ 2 5 2月 (平均 62月 )。结果 :术后随访 2 7例患者膀胱排空正常。除 1例术后重施肾切除 ,余经B超、IVU或同位素检查疗效确切。结论 :输尿管阴道瘘治疗的关键在于明确损伤部位、程度和灵活地选择适当的手术方式。
Objective: To evaluate the diagnosis and treatment of ureteroscopic fistula and to emphasize the importance of prevention and appropriate treatment. Methods: A retrospective review of our hospital diagnosis and treatment of 39 cases of ureteroscopic fistula patients. Among them, 12 cases (30.8%) were treated by early or immediate repair, 21 cases (51.3%) were treated by debridement of ureteric vesicle, anastomosis of ureter and 6 cases (15.3%) of intestinal transurethral ureter. The patients were followed up for 4 ~ 25 months (mean 62 months). Results: Twenty seven patients were followed up for normal bladder emptying. In addition to a case of re-application of renal resection, after more than B, IVU or isotope examination curative effect. Conclusion: The key to ureteroscopic fistula treatment is to determine the location of the injury, the degree and flexibility to choose the appropriate surgical approach.